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FUNDAMENTALS PROCTORED ATI RN
EXAM AND CORRECT ANSWERS
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A nurse is preparing to instill an enteral feeding to a client who has an NG
tube in place
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Check how long the feeding container has been opened
B
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Confirm that the client doesn't have diarrhea
D
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Which of the following nursing interventions is the highest priority when
the nurse suspects aspiration of the feeding?

A
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Stop the feeding
C
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Initiate oxygen therapy - CorreCt Answers -B
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Which of the following is an appropriate
nursing action prior to administering the tube feeding? Select all
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Auscultate bowel sounds
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Assist the client to an upright position
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Test the pH of gastric aspirate
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Warm the formula to body temp
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Discard any residual gastric contents
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Which of the following actions should the nurse perform
prior to beginning the procedure? Select all
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Review a signal the client can use if feeling any distress
B
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Administer oral pain meds
D
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Have a petroleum-based lubricant available - CorreCt Answers -A, B

An adolescent who has diabetes mellitus is 2 days postop following an
appendectomy
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He has ambulated
successfully around the unit w/assistance
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His
incision is approximated & free of redness, w/scant serous drainage on the
dressing
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A
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Impaired circulation
C
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Malnutrition
E
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surgery
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Which of the following assessment
findings should the nurse expect? Select all
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Increase in incisional pain
B
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Reddened wound edges
D
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Decrease in thirst - CorreCt Answers -A, B, C

A nursing instructor is reviewing the wound healing process w/a group of
nursing students
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A
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Sutured surgical incision
C
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Laceration sealed w/adhesive
E
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surgery 24 hr ago reports a pulling sensation & pain
in his surgical incision
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Which of the following
interventions is appropriate? Select all
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Cover the area w/saline-soaked sterile dressings
B
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C
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Position the client supine w/his hips & knees bent
E
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Which of the following interventions should the nurse use
to help maintain the integrity of the client's skin? Select all
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Keep the head of the bed elevated 30 degrees
B
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Apply cornstarch liberally to the skin after bathing
D
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Reposition the client at least Q 3 hr while in bed - CorreCt Answers -A, D

not E because it should be at least every 2 hours

102 - CorreCt Answers A nurse on a med-surg unit has received change-of-shift report & will care
for 4 clients
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Feeding a client who was admitted 24 hrs ago w/aspiration pneumonia

B
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Reapplying a condom catheter for a client who has urinary incontinence

D
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Reapplying a condom catheter for a client who has urinary incontinence

Rationale: The application of a condom catheter is a noninvasive, routine
procedure that the nurse may delegate to the AP

A nurse is delegating the ambulation of a client who had knee arthroplasty
5 days ago to an AP
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A
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B
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The client uses a front-wheeled walker when ambulating
D
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The client is allergic to codeine
F
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Which of the following assignments should the LPN question?

A
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Collecting a clean-catch urine specimen from a client who was admitted
on the previous shift
C
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Replacing the cartridge and tubing on a PCA pump - CorreCt Answers D
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Which of the
following elements should she identify when presenting the 5 rights of
delegation? Select all
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Right client
B
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Right direction/communication
D
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Right circumstances - CorreCt Answers -B, C, E

A and D are rights of medication administration

A nurse manager of a med-surg unit is assigning care responsibilities for
the oncoming shift
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To which staff member should the nurse
assign to this client?

A
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RN
C
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AP - CorreCt Answers -B
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RNs are responsible for this, especially if the client is
potentially unstable
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The AP tells him she will put a diaper on him if he does not use
the urinal more carefully next time
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Assault
B
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False imprisonment
D
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Assault

By threatening the client, the AP is committing assault
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The nurse believes that this is
not in the client's best interest, so she administers a PRN sedative med that
the client has not requested along w/his usual meds
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Assault
B
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Negligence
D
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False imp
The client sat in a chair during lunch w/an absorbent pad over the fistula
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The wound care nurse confirmed that
she will see the client later today
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Which of the following information should the nurse include in
the change-of-shift report? Select all
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The physical therapist didn't ambulate the client today
B
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Which of the following
nursing actions are appropriate? Select all
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Repeat the details of the prescription back to the provider
B
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Obtain the prescriber's signature on the prescription within 24hrs
D
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Tell the charge nurse that the provider has prescribed morphine by
telephone - CorreCt Answers -A, B, C

A nurse is caring for an older adult client who lives alone & is to be
discharged in 3 days
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To which of the following
members of the health care team should the nurse refer him?

A
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Occupational therapist
C
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Social worker - CorreCt Answers -D
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The nurse caring for the client should
initiate a referral w/which of the following members of the
interprofessional care team?

A
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Certified nursing assistant
C
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Occupational therapist - CorreCt Answers -D
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Which of the following members of the interprofessional care team may
assist the client in understanding the medication's effects? Select all
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Provider
B
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Pharmacist
D
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Respiratory therapist - CorreCt Answers -A, C, D

A client who has had a cerebrovascular accident has persistent problems
w/dysphagia
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Social worker
B
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Occupational therapist
D
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When she gives examples of the types of tasks CNAs
may perform, which of the following client activities should she include?
Select all
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Bathing
B
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Toileting
D
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Measuring vital signs - CorreCt Answers -A, B, C, E

Determining pain level requires assessment, which is the job of the licensed
personnel
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Which of the following findings should the nurse expect?
Select all
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A concave thoracic spine posteriorly
B
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A concave lumbar spine posteriorly
D
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Muscles slightly larger on his dominant side - CorreCt Answers -C, E

A nurse is evaluating a client's neurosensory system
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Which of the following info should the nurse include in her counseling?
Select all
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Most food poisoning is caused by a virus
B
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Clients who are especially at risk are instructed to eat or drink only
pasteurized milk, yogurt, cheese, or other dairy products
D
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Handling raw & fresh food separately to avoid cross contamination may
prevent food poisoning - CorreCt Answers -B, C, E

Most food poisoning is caused by a bacteria such as E
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Healthy individuals usually recover in a few days
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The nurse is aware that health care professionals are
required to report communicable & infectious diseases
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A
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Determining public health priorities
C
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Identifying endemic disease
E
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Which of the following
should the nurse include in the plan of care? Select all
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Place the client in a room that has negative air pressure of at least 6
exchanges/hr
B
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Place a surgical mask on the client if transportation to another dept is
unavoidable
D
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Wear a gown when preforming care that may result in contamination
from secretions - CorreCt Answers -B, C, E
Private room w/droplet precautions indicated for this client
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Which of the following should the
nurse suspect?

A
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Ringworm
C
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Herpes zoster - CorreCt Answers -D
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The client is experiencing which of the
following stages of infection?

A
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Incubation
C
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Illness - CorreCt Answers -D
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a systemic infection
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A
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Malaise
C
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Pain or tenderness
E
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Which of the following statements by the client indicates an
understanding of the teaching?

A
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"
B
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"
C
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"
D
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" - CorreCt Answers -B
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The nurse should offer which of the following
behaviors by a young adult as an example of appropriate psychosocial
development?

A

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